Gait changes after tendon functional surgery for equinovarus foot in patients with stroke: assessment of temporo-spatial, kinetic, and kinematic parameters in 177 patients.

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_BE98A6BD3FA4
Type
Article: article from journal or magazin.
Collection
Publications
Title
Gait changes after tendon functional surgery for equinovarus foot in patients with stroke: assessment of temporo-spatial, kinetic, and kinematic parameters in 177 patients.
Journal
American Journal of Physical Medicine and Rehabilitation / Association of Academic Physiatrists
Author(s)
Carda S., Bertoni M., Zerbinati P., Rossini M., Magoni L., Molteni F.
ISSN
1537-7385 (Electronic)
ISSN-L
0894-9115
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
88
Number
4
Pages
292-301
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Abstract
OBJECTIVE: In patients with hemiplegic stroke, equinovarus foot is one of the most frequent deformities. Outcome evidence for surgical correction of equinovarus foot is scarce, and results are usually assessed only clinically. Moreover, concerns about possible loss of function after elongation of the plantar flexor muscles are still at issue. The objective of this study was to verify if surgical correction of equinovarus foot can improve gait speed and function.
DESIGN: We used a retrospective, nonrandomized design. One hundred seventy-seven chronic hemiplegic patients who underwent surgical correction of equinovarus foot were evaluated before and 1 yr after surgery. Outcome measures were walking handicap score, temporal-spatial parameters, gait kinematics and kinetics, and paretic propulsion.
RESULTS: After surgery, walking handicap and temporal-spatial parameters significantly improved, as did ankle kinematic data and gait kinetic data. Patients' gait at follow-up was faster, with a more normal base of support and with better foot advancement. Paretic propulsion increased significantly after surgery, even if ankle power at push-off was reduced. We also observed a low complication rate.
CONCLUSIONS: Surgical correction of equinovarus foot deformity in patients with stroke is a safe and effective procedure. Even if the power generation at the ankle decreased, overall gait function and parameters improved after surgery.
Keywords
Biomechanics, Chronic Disease, Clubfoot/rehabilitation, Clubfoot/surgery, Female, Gait, Gait Disorders, Neurologic/etiology, Gait Disorders, Neurologic/rehabilitation, Hemiplegia/etiology, Hemiplegia/rehabilitation, Humans, Male, Middle Aged, Retrospective Studies, Stroke/complications, Stroke/rehabilitation, Tendons/surgery, Time Factors
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25/03/2013 18:21
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15/07/2020 6:26
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